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Jeanette Valentin

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NPI Number Detailed Information

Provider Information:

Name: Jeanette Valentin
Gender: F
Provider License Number If Given: DR-52212

NPI Information:

NPI: 1952300485
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 11/11/2013

Provider Business Mailing Address:

Address: 8890 N. UNION BLVD SUITE 160
Colorado Springs, CO 80920
Phone Number: 7193659950
Fax Number:

Provider Business Practice Location Address:

Address: 1400 E BOULDER ST
Colorado Springs, CO 80909
Phone Number: 7193651292
Fax Number: 7193656997

Provider Taxonomy:

Primary: 207R00000X
Secondary (if any): 207R00000X
State: CO

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